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1477978641
PAMELA GREEN
SURPRISE, AZ
NPI
1477978641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-14074)
Enumeration Date
2014-02-25
Last Update Date
2014-02-25
Business Address
-- PAMELA GREEN
15439 W LEA LN
SURPRISE, AZ 85374-4806
Phone number: 623-556-3805
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Mailing Address
-- PAMELA GREEN
15439 W LEA LN
SURPRISE, AZ 85374-4806
Phone number: 623-556-3805
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